Consultancy - Consultant Endline Assessment MWF Healthier Smiles phase

Consultancy Needed - Consultant Endline Assessment MWF Healthier Smiles phase 7

Job Description

Scope of Work (SOW)

Background

Save The Children (SCI has been present in Indonesia since 1976, and became a locally registered foundation in Indonesia, known as Yayasan Save the Children Indonesia (SCIDN).SCIDN is one of the largest child-rights organizations in Indonesia, with around 200 staffs, and delivering programs across several thematic areas including, health, nutrition, child protection, education and child poverty. SCIDN has significant humanitarian experience, from the El Nino event in Sumba, Lombok Earthquake, Central Sulawesi Earthquake and Tsunami to the recent Covid-19 response.

In these emergencies, SCIDN responded with national staff through a holistic emergency response.

According to the 2018 Basic Health Research (Riskesdas 2018), 93% of Indonesian children aged 5-6 years have tooth decay. Whereas based on Indonesian Health Survey (SKI) 2023 data, 56.9 % people older than 3 years old have dental and oral health issues. South Sulawesi is in second place with the highest number of oral problems in Indonesia at 68.4%. The result of the 2023 Indonesian Health Survey (SKI) for dental examinations shows a decrease in the DMFT-T index for all age groups compared to the result of the 2018 Basic health Research (Riskesdas).National

data also show a modest improvement in preventive behaviour: the proportion of people brushing their teeth correctly twice daily (after breakfast and before bed) increased from 2.8% to 6.2%. However, service utilization remains critically low, as only 11.2% of individuals with dental problems seek professional dental care.

Of the 56.9% of Indonesians who have dental health problems, only 11.2% seek medical attention. The low number of people accessing dental health services is also in line with the Midline study results of the Healthier Smiles program in August 2024 where only 20.7% of parents in the intervention areas (East Luwu and North Luwu) took their children to the dentist in the last 6 months, it increased of 9% compared to the baseline results.

According to the midline study, the Healthier Smiles program has significantly improved dental health knowledge in communities (students, parents and teachers). However, at the level of behaviour change, there are still some things that need attention, namely related to the consumption of sugary foods and drinks that are still high as 58.4% for beverages and 59.1% for foods. Also, the low number of regular dental visits.

In response to this gap, Save the Children Indonesia (SC-IDN) started Healthier Smiles Program in East and North Luwu in South Sulawesi Province to improve children's dental health, which aims to contribute to children's overall health. The program is designed to:

• Objective 1:
  Improved health, hygiene and safety of the school environment for school-aged children.
• Objective 2:
  Improved health, hygiene, and nutrition knowledge and capacity of school-aged children, caregivers, educators, and stakeholders.
• Objective 3:
  Improved policy environment community support for school health and nutrition.
• Objective 4:
  Improved access to health, hygiene and nutrition services for school-aged children.

Objective of the Assignment

The overall objective of this consultancy is to conduct a comprehensive endline assessment of the Healthier Smiles Phase 7 program in North Luwu and East Luwu Districts to determine the extent of progress made toward achieving the project’s intended outcomes in oral health, hygiene, nutrition knowledge, school health environment, and access to health services. The assessment will generate timely, reliable, and disaggregated evidence to support program learning, accountability, and decision-making for Save the Children Indonesia, partners, and key government stakeholders.

Specifically, the assignment aims to:

• Measure progress against the program’s log frame indicators, including improvements in WinS facilities, oral-health related knowledge and behaviours among students, teachers, and caregivers, institutional adoption of school health practices, and access to school-based health and nutrition…